title: Modernization and future care preferences: a cross-sectional survey of Arab Israeli caregivers.
abstract: OBJECTIVE
  This paper is a report of a study designed to examine the association between modernization and future care preferences among adult children caregivers of older Arab parents in Israel and to identify factors that may mediate the association.
  
  
  METHODS
  Cross-sectional data were collected in 2006-2007 by a structured interview from 250 randomly sampled Arab-Israeli adult children caregivers (response rate = 94%). Respondents' preference for formal and/or informal future care for themselves was regressed on selected predictor variables.
  
  
  RESULTS
  The vast majority of family caregivers would 'prefer' to be cared for by family members (76·4%). Urbanization level was a negative correlate of preference for future family care and a positive correlate of preference for future formal care. However, these associations were mediated by the extent of filial piety and caregiving burden. Filial piety was a positive predictor of preference for future family care (OR=3·6, P<0·01), and a negative predictor of preference for formal care (OR=0·09, P<0·01). Caregiving burden was a positive predictor of preferences for future formal care (OR=5·15, P<0·01).
  
  
  CONCLUSIONS
  Modernization has an impact on future care preferences in traditional cultures. In order to maintain informal family care, community nurses should examine ways to lessen the burden of care among family caregivers. They should also develop culturally sensitive services that will meet the evolving expectations and preferences that are held by the next generations of family caregivers.
authors.affiliation: School of Nursing Zefat Academic College, Israel. rabeik@hotmail.com
authors.forename: Rabia
authors.initials: R
authors.lastname: Khalaila
authors.forename: Howard
authors.initials: H
authors.lastname: Litwin
mesh_terms: D000293:Adolescent; D000328:Adult; D032721:Adult Children / Q000208:ethnology / Q000523:psychology*; D000368:Aged; D018912:Arabs / Q000706:statistics & numerical data*; D001294:Attitude to Health / Q000208:ethnology*; D017028:Caregivers / Q000523:psychology / Q000706:statistics & numerical data*; D003258:Consumer Behavior / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D005260:Female; D006299:Health Services for the Aged / Q000706:statistics & numerical data; D006701:Home Nursing / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D007557:Israel; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations / Q000208:ethnology; D010290:Parents; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012922:Social Change; D012944:Social Support; D014507:Urbanization; D055815:Young Adult